The health industry is different from any other sector, particularly when it comes to organizing, adding and sharing data. Most hospitals and health systems feel among a world of fax machines and inherited systems and digital innovation. Megan Zakrewsky’s history are immersed in health innovation, particularly the change in the role to digital medical records, with almost 20 years of his career focused on interoperability. The challenges of the adoption and implementation of health technology are nothing new to it. Her role as an attached professor at the University Thomas Jefferson in Philadelphia while working as a product vice president with Verlaf allowed her to balance serve a health technology provider while engaging in interested parties in the medical care voice.
In an interview, Zakrewsky spoke about Vercentm’s role in reducing administrative load on suppliers when rationalizing fragmented approaches and eliminating the experience of the “busy desk” within electronic health records (EHR). Veranderbestm works with payers and suppliers to strengthen and rationalize workflows to reduce multiple care gaps.
Zakrewsky said he joined Vercentm for the opportunity to close the connections between suppliers and payers. At that time, payers were very embroidered suppliers from a data adoption perspective, which presented an exciting challenge.
“He felt that we already had a work plan that we did on the legs when these bases and paths would sit so that we could really come bridge connectivity, since the payers have begun to develop their capacity and the claims and clinical data of somhts ortal create significant, special intelligence of the payers.
Vervangm’s Payer Insights solution is designed to rationalize clinical workflows by reducing the time to open third -party applications outside the EHR, improving the closures of the care gap, improving the quality of care and improving the results of patients.
When asked if there is a rule 80:20 that could be applied to the administrative load of health technology, Zakrewsky acknowledged that 80% of the load comes from managing only a small fraction of the care gaps.
“Many of the gaps are created because the data is difficult to achieve. Interoperability remains a struggle, especially for community suppliers that do not necessarily have technology and resources to connect with all the different places where they are”, the data of origin, “source data”, Fuente Datesksk, where “if we can focus on the fixed majority of most of the gap That we see for the Verigma is to try within the other ways of Ehrs and the others, it is intention that the other is to try to do the Verdigma is to try to do a pursuit that comes to the others, is to try to agree with the other attempt to make veradigms that try to make a verdigma that is trying to do to do the pursuit that is trying to do to make verdigma that is trying to do to do to do to do to do. make.
Through workflows that are intuitive for doctors at the point of care, health technology companies can help payers and suppliers reduce the fight to navigate through different systems.
There are some factors that are completely out of the hands of payers and suppliers, at the beginning. When patients lose annual exams, immunizations and other regular medical appointments, the risk is that small changes in their health will not catch early and in their place Willen and will increase hospitalization and the highest medical costs, load.
“Payers have a more complete vision of patients because they are reciting information from the various doctors of whom patients can see attention. Somehow, payers can connect the points much faster than doctors,” Zaktrewsky said that we can also alert medical care providers about data on chronic conditions that must be recaptured year after year and documented of a CMS perspective. ” “.”
Zakrewsky acknowledged that there is significant administrative burden and pressure at the point of care, but its paying information solution can give doctors a more complete image of their patients. Payers can sometimes extrapolate the data of the members of the Health Plan that other conditions may be present that primary care providers are not aware. With the help of Verger, payers can identify “suspicious conditions” based on clinical data and other information in the patient’s medical history, which is the patient who has pays. Payers can see the data of a financial and clinical context and can see the claims data source. They can use thesis opportunities to stimulate communication with suppliers and determine whether monitoring attention is justified beyond preventive care.
“Actually because to make sure that when the patient is face to face with the supplier, as many open conditions can be addressed as possible, because he does not know when that patient can return. The table and can advocate for better patient results,” Zakrewsky said. “What I think is so exciting at this time is to link data to reduce the disconnection between different parts thesis.”
Just as not having enough data can create care gaps, having too many data can also cause problems. Multiple payers who try to generate ideas at the point of attention only border on suppliers with more and more applications and workflows to remember spending the day. A survey of 250 American doctors in the report, “how EHR workflows impact the doctor’s experience, patient care and profitability,” found that 91% of respondents said they had six or more tools for supporting external decisions on their computer. About 80% of the doctors in the report said they avoided tools that provided information about the payer that existed outside EHrs.
These statistics say a lot about the interest in implementing tools that provide useful information for doctors, but also the need for these ideas to be easily accessible within clinical workflows. There must be ways for payers to transmit easy information and information to suppliers who share claims and clinical data with them, said Zakrewsky. Because Verende is among payers and suppliers, it is in a single position to create solutions that simplify collaboration between these groups.
These bidirectional capacities support the flow and flow of data between payers and suppliers. Althehugh’s suppliers have been able to transmit data to payers for a long time, it is not so common for payers to communicate information to external suppliers or prior authorization.
“It is that duality that is really critical for true collaboration, right? Because we can’t make suppliers simply send their clinical data to payers who see the complete vision of a patient,” said Zakrewsky. “There must be ways for payers to obtain information and information to suppliers that provide them with clinical claims and data.”
EHR suppliers cannot be all for everyone in the medical care ecosystem. There is always new emerging technology that can increase the user experience of a supplier. For example, AI has an important role to play in the reduction of the administrative load faced by cargo doctors by helping automatic tasks through automatic learning and predictive text.
“If we can automatically the tasks that help doctors to capture the data of precision patients, that could have a positive impact on patient care,” said Zaktrewsky.
Trust and transparency are critical for robust collaboration. The adoption of health technology by suppliers is based on some constants: utility, ease of use, easily adjusted in workflows and the ability to transmit data safely and efficiently. But for relations between suppliers, payers and health technology suppliers to prosper, trust is essential. Zakrewsky referred to a “confidence factor” that is essential for health technology suppliers to maintain the highest standards of quality and safety.
Shared incentives are also an important characteristic or successful collaborations. Zakrewsky pointed out that the change in the rate industry for service to care based on risk -based value, where payers and suppliers are equally encouraged to improve patient care and patients’ results in a significant way. Incentives aligned to impact better patient results, it is also important.
“With All This Great Technology Comes Great Response. We want to make souta we’re doing it right and that the information that’s Being surfaced to providers and facilitating payer-provider collaboration is action Thates, Tohes, Thates, Bees, Bees, Bees, Bees, Bees, Bees, Bees, Bees, Bees, Tos.
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